OrganizationActive
Affordable Ketamine Clinics, LLC
NPI 1568050052 · Certified Registered Nurse Anesthetist · Kaysville, UT
Provider details
- NPI number
- 1568050052
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Royce Bartholomew, Owner/Manager(801) 372-1888
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
375 N Main St Ste 202
Kaysville, UT 84037-1278
Phone: (801) 450-7147
Fax: (385) 209-2975
Approximate (ZIP-level) locationGet directions
Mailing address
375 N Main St Ste 202
Kaysville, UT 84037-1278
Registry dates
- Enumerated
- 2021-01-09
- Last updated
- 2021-01-09
- Certified
- 2021-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.